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General NPI Number Information
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NPI Number | 1083298525
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Entity Type | Organization
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Legal Business Name | FAMILIES FIRST ORTHODONTICS
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 4651 W 13400 S STE 110
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City | RIVERTON
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State | UT
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Zip | 84096-6483
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Country | US
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Telephone | 801-515-5858
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Fax | 801-515-5859
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Provider Business Mailing Address
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Address Line | PO BOX 95868
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-0868
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Country | US
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Telephone | 801-515-5858
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Fax | 801-515-5859
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ALISHA SHIGLEY
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Credential |
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Telephone | 801-450-1250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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